International journal of clinical pharmacology and therapeutics Ferulic acid alleviates Aβ25-35- and lipopolysaccharide-induced PC12 cellular damage: a potential role in Alzheimer’s disease by PDE inhibition Hao Huang1,2, Zeng-Chun Ma2, Yu-Guang Wang2, Qian Hong3, Hong-Ling Tan2, Cheng-Rong Xiao2, Qian-De Liang2, Xiang-Lin Tang2, Yue Gao2 1 College of Life Science and Bioengineering, Beijing University of Technology , Beijing, 100124, China; 2 Beijing Institute of Radiation Medicine, Tai-Ping Road 27, Beijing, 100850, P.R.China; 3 No. 97 Hospital of CPLA, Xuzhou 221004, China. Correspondence to Yue Gao, Zeng-Cun Ma, Beijing Institute of Radiation Medicine, 27 Tai-Ping Road, Beijing, 100850, PR China [email protected]; [email protected] Abstract Objective: Phosphodiesterase (PDE) plays an important role in the pathogenesis of Alzheimer’s disease (AD). Ferulic acid (FA) has a therapeutic benefit in the treatment of AD. We investigated whether this therapeutic effect is based on the modulation of the PDE/cyclic adenosine monophosphate (cAMP) pathway. In the present study, we investigated whether FA could abrogate Aβ25–35- and lipopolysaccharide-induced cellular damage. Materials and Methods: Cell viability, superoxide production, and the levels of inflammatory factors were investigated. We further investigated the intracellular levels of cAMP and Ca2+, both of which are associated with PDE activity. Furthermore, molecular docking was used to identify the binding mode between phosphodiesterase 4B2 (PDE4B2) and FA. Results: Pretreatment with FA significantly maintained cell viability, increased the levels of superoxide dismutase, and inhibited production of TNF-α and IL-1β induced by Aβ25– 35. Moreover, pretreatment with FA increased the intracellular levels of cAMP and decreased the intracellular levels of Ca2+. The docking results also showed that FA has the potential to inhibit PDE4B2 activity. Conclusions: Taken together, our results suggested that one of the therapeutic effects of FA on AD was potentially mediated by modulating the PDE/cAMP pathway. Key words Ferulic acid-Alzheimer’s disease-phosphodiesterase-lipopolysaccharide Introduction Progressive degeneration of β-amyloid peptide (Aβ) in the brain has been proposed as a pivotal event in the pathogenesis of Alzheimer’s disease (AD), which is associated with excessive accumulation of Aβ in the hippocampal and cerebral cortical region. Sufficient evidence has shown that oxidative stress contributes to AD neuropathology [1]. Antioxidants, anti-inflammatory drugs, or putative mitochondrial protectors have been used for the treatment of AD [1, 2]. However, no effective treatment has emerged from these efforts so far, due to toxicity and a questionable effect in preclinical and clinical trials. Ferulic acid (FA) is a component found in various grains, fruits, and vegetables and is considered an effective therapeutic tool for a variety of diseases including neurodegenerative disorders, cardiovascular disease, inflammatory diseases, and even AD. FA can cross the blood–brain barrier easily and shows a lot of biological activities including anti-inflammatory and anti-oxidant effects [3, 4]. Studies have shown that FA has a neuroprotective effect against oxidative stress [5, 6]. Long-term oral FA administration showed protective activities in β-amyloid precursor protein/presenilin 1 (APP/PS1) transgenic mice, including a decrease in amyloid deposition in the brain [7]. Furthermore, FA ethyl ester was reported to destabilize preformed Aβ fibrils in vitro [8, 9]. Apart from protecting cells from peroxidative damage as a free radical scavenger, FA also possesses another important biological function as it might be able to increase intracellular cyclic nucleotides by inhibiting PDE [10]. The enhancement of cyclic adenosine monophosphate (cAMP) and cAMP response element binding protein (CREB) phosphorylation induced by FA is probably one of the most important mechanisms in the treatment of depression and AD [11]. However, its biological effects on the central nervous system (CNS) remain largely unknown. Our hypothesis is that FA might inhibit the PDE/cAMP pathway. Understanding the mechanisms by which FA ameliorates AD neuropathology as a multi-targeted compound could open new avenues for the development of innovative treatments for AD associated with inflammation. Material and methods Cell culture and treatments PC12 cells (Cell resource center, IBMS, CAMS/PUMC) were routinely cultured in RPMI 1640 medium (Gibico, China) supplemented with 10% heat-inactivated fetal bovine serum (Gibico, New Zealand), 5% heat-inactivated horse serum (Gibico, New Zealand), 100 U/mL penicillin, and 100 U/mL streptomycin (HyClone, USA) at 37 °C in a humidified atmosphere of 95% air and 5% CO2. PC12 cells (1 x 105 cells/mL) in RPMI 1640 medium supplemented with low serum content (2% fetal bovine serum) were seeded in a 6-well plate or a 96-well plate. The cells were allowed to grow for 24 hours before processing for further experiments. Aggregation of Aβ25-35 and LPS preparation Different articles have reported different times for Aβ25–35 incubation, from 0~7 days. In order to get aggregated Aβ, we incubated it at 37 oC for 6 hours, 12 hours, 24 hours, 3 days, 7 days, and 14 days, respectively. There was no obvious difference between the cytostatic effects observed for the different incubation times. Most researchers used a 4-day or a 7-day period for Aβ25–35 incubation [12, 13, 14]. Aβ25–35 (Sigma, USA), which is the most toxic peptide fragment derived from amyloid precursor protein, was prepared in a stock solution of 1mM in distilled water and aggregated by incubation at 37 °C for 7 days before use. Then the solutions were diluted to the required concentration with serum-free RPMI 1640 medium. LPS (Sigma, USA) was dissolved in sterile, pyrogen-free water and diluted with sterilized phosphate-buffered saline. Assay of cell viability Cell proliferation and viability was measured by Cell Counting Kit-8 detection kit (CCK-8, Dojindo Kumamoto, Japan). First, we examined the cytotoxicity of FA (NICPBP, Beiing), Aβ25-35, and LPS. PC12 cells were treated with different concentrations of FA (2.5~40 µM) and Aβ25-35 (2.5, 5, 10, 20, 40 µM) for 24 hours and 48 hours, respectively. Cells were treated with various concentrations of LPS (0.125, 0.15, 0.175, 0.2, 0.225 mg/mL) for 24 hours. Second, to detect the protective effect of FA on Aβ25-35 and LPS-induced cellular damage, PC12 cells were pretreated with various concentrations of FA (0, 2.5, 5.0,10, 20, 40 µM) for 24 hours followed by exposure to 20 µM Aβ25-35 for 48 hours or exposure to LPS (0.15 mg/mL) for 24 hours. CCK-8 solution was applied at 10 μL per well, followed by 2 hours of incubation at 37 °C. The absorbance values of all wells were then determined at 450 nm in a VICTOR™ X5 Multilabel Plate Reader. The experiments were independently repeated three times. Superoxide assay Superoxide dismutase (SOD) activity was measured using 96-well plates and then using the Superoxide Dismutase Assay Kit (JianCheng, Nanjing) with some modifications. The assay was performed according to the manufacturer’s instructions. In brief, cell cultures grown in 96-plates were exposed to Aβ25-35 or vehicle in 150 µL of treatment medium. 50 µL of treatment medium with and without 800 U/mL SOD was added. Then, the supernatant was incubated at 37 °C for 20 minutes. Afterwards, the absorbance was read at 450 nm with a VICTOR™ X5 Multilabel Plate Reader. Cytokine assays PC12 cells were seeded in a 96-well plate at a density of 5×105 cells/mL and then pretreated with FA (2.5, 5, 10, 20, or 40 μM) for 24 hours followed by Aβ 25-35 (20 µM) treatment for 48 hours. The TNF-α and IL-1β levels in the cultured supernatant were quantified using ELISA kit (Multiscience, china) in accordance with the manufacturer's instructions. The absorbance at 450 nm was determined using a VICTOR™ X5 Multilabel Plate Reader. cAMP immunoassay PC12 cells (5x105/mL) were seeded in 12-well plates coated with poly-L-lysine (Solarbio, China) in normal medium for 24 hours, then the cells were incubated in 1% horse serum and 0.5% FBS for 24 hours prior to the 24-hour FA treatment and followed by exposure to LPS (150 ng/mL) for 24 hours. Cells were treated with 0.1 M HCl after removing the culture media and incubated for 10 minutes to verify cell lysis. The cell lysates were centrifuged and the supernatant was used in the assay. Measurement of total intracellular cAMP was performed using a cAMP enzyme immunoassay kit (Jiancheng, Nanjing). The values were normalized by protein quantification. Rolipram (the inhibitor of PDE4) was used at 30 µM which is a concentration that can completely inhibit PDE4 activity [15, 16, 17]. Measurement of Ca2+ The intracellular calcium concentration was measured by using fluorescent dye Fura-2/AM (Sigma, USA). First, we observed the typical plots of changes in intracellular Ca2+ levels over time after the addition of different FA concentrations (5, 10, or 20 µM). Second, we investigated the effect of FA on LPS-induced Ca2+ influx. PC12 cells were pretreated with various concentrations of FA (0, 2.5, 5.0,10, 20, 40 µM) for 24 hours followed by exposure to LPS (0.15 mg/mL) for another 24 hours. After the above treatment, PC12 cells were loaded with 2 μg/mL Fura- 2/AM dye in the presence of pluronic acid at 37 ºC for 40 minutes in HEPES-buffered solution. After incubation, the cells were gently washed three times with HBSS (Kaixinjie, Beijing). Images were acquired on a PerkinElmer UltraVIEW VoX Confocal Imaging System. Changes in the fluorescence ratio were measured at an emission wavelength of 510 nm for a dual excitation wavelength of 340 and 380 nm. The changes in fluorescence were recorded for at least 5 minutes. Docking We downloaded the crystal structure of PDE4B2 from the RCSB Protein Data Bank (PDB ID: 1R06) [18]. The visual tool Pymol was used to analyze the construction of the binding site of PDE4B2. The file of FA was obtained from PubChem Compound Database. The PDB formats were transformed to PDBQT formats by MGLTools 15.2. Molecular docking was conducted by AutoDock 4.0 software to analyze the conformation of FA and the PDE4B2. Results Protective effects of FA on Aβ25-35-induced cytostatics in PC12 cells When PC12 cells were treated with 2.5 µM to 500 µM FA for 24 hours. 2.5~80 µM FA increased cell viability (Figure 1 A), and the viability of PC12 cells could also be increased within the range of 2.5~80 µM FA. Therefore, to demonstrate the real effect of FA on PC12 cells, an Aβ25-35 concentration of 2.5~40 µM was chosen for the following experiments. The inhibitory effect of Aβ25-35 on cell proliferation was detected by CCK8 assay. As shown in Figure 1B, when the PC12 cells were treated with 0, 2.5, 5, 10, 20, and 40 µM Aβ25-35 for 48 hours, Aβ25-35 significantly inhibited the proliferation of PC12 cells at concentrations higher than 10 µM at 48 hours. Based on the results for the toxic effect of Aβ25-35 on PC12 cells, treatment with Aβ25-35 at a concentration of 20 µM for 48 hours will be appropriate for our next study. To investigate the protective effects of FA on Aβ25-35 induced neurotoxicity, PC12 cells were pretreated with FA at concentrations of 2.5, 5, 10, 20 and 40 µM for 24 hours and then exposed to 20 µM Aβ25-35 for 48 hours. Cell viability increased at all concentrations of FA compared to the Aβ25-35-treated group (Figure 1C). FA promotes generation of SOD and inhibits generation of TNF-α and IL-1β To further explore whether the neuroprotective effect of FA results from its antioxidant effect, the supernatant of the PC12 cells culture medium was collected for SOD assay. The results showed that with the application of Aβ25-35 alone, the activity of SOD decreased significantly compared to the control group, but under pretreatment with FA, the activity level of SOD significantly increased compared to the Aβ25-35 group (Figure 2A). As shown in Figure 2 (B, C), Aβ25-35 markedly increased the release of pro-inflammatory cytokines TNF-α and IL-1β into culture supernatants of PC12 cells compared with the control group. FA significantly attenuated the release of TNF-α and IL-1β into the medium compared with the Aβ25-35 treated group, although lower concentration of FA (2.5 µM) did not significantly affect the release of these inflammatory mediators. Protective effect of FA on cellular damage induced by LPS LPS (0.125, 0.15, 0.175, 0.2, 0.225 mg/mL) induced cell death in a dose-dependent manner (Figure 3A). Cell viability decreased to approximately 75% at a concentration of 0.15 mg/mL over 24-hour incubation. FA significantly protected PC12 cells from the toxic effect of LPS when the cells were preincubated with FA for 24 hours prior to LPS exposure. All concentrations (ranging from 2.5 to 40 µM) caused significant increases in viability as compared with negative controls (LPS alone) (Figure 3B). Effect of FA on cAMP level In this study, 150 ng/mL LPS were used to stimulate cAMP production [19, 20]. There was a clear increase of cAMP levels in FA- and rolipram-treated PC12 cells as compared with negative controls (LPS alone). FA was shown to inhibit the LPS-induced cAMP decrease at concentrations of 10, 20, and 40 µM. It was also observed that FA increased cAMP levels in a dose dependent manner (Figure 4). The results showed that FA has the potential to increase the cAMP level in PC12 cells. Effect of FA on Ca2+ level The intracellular Ca2+ level was stable throughout the recording periods in PC12 cells of the control group. A concentration-dependent increase in the intracellular Ca2+ levels was displayed in PC12 cells exposed to different concentrations of FA (Figure 5A-D). As shown in Figure 5E, compared with the control group, the fluorescence intensity of Fura-2/AM in PC12 cells increased evidently after incubation with LPS alone, while pretreatment with FA or rolipram obviously attenuated the increase of Ca2+ induced by LPS. The results suggested that the neuroprotective effect of FA was strongly linked with reduction of the incremental Ca2+ influx. Results of docking The predicted binding sites and the molecular docking results are shown in Figure 6A, B. The conformation with the lowest binding energy (-6.36k cal·mol-1) was regarded as the optimal conformation. The conformations of FA are located in the hydrophobic cavity area, which is composed by amino acid residues including Tyr233, His234, Met347, Asn395, Phe414, Gln443, and Phe446. Abundant irregular coiling structures and helix structures can be found in the hydrophobic cavity area. Discussion Kanski J et al. suggested that 10~50 µM FA exerts protective effects against oxidative stress-mediated changes by hydroxyl and peroxyl radical generators in protein oxidation, lipid peroxidation, and ROS. FA could potentially be of importance for the treatment of AD and other diseases related with oxidative stress [21]. In this study, we found that FA has no cytotoxic effects in a wide range of concentrations (0.5~500 µM) and could increase PC12 cell viability within concentrations of 2.5~80 µM. Pretreatment with FA for 24 hours reverses the inhibition of cell viability induced by Aβ25-35 and LPS. It has also been reported that FA is better for nerve cell proliferation than brain-derived neurotrophic factor (BDNF) in the prevention and treatment of some degenerative retinal diseases [22]. FA promotes viability of Schwann cells and may be useful in the development of future strategies for the treatment of peripheral nerve injury [23]. While different cell lines react differently to FA treatment, FA significantly inhibited both viability and activation of HSC-T6 cells in vitro. Thus, FA has antifibrotic potential in renal and cardiac disease [24]. Altogether, literature shows that FA has versatile biological functions. There is considerable evidence that the neuronal damage caused by Aβ is mediated by damage to membranes caused by free radicals. Oxidative stress is involved in various neurodegenerative diseases, including Alzheimer’s disease and Parkinson’s disease, and is defined as an impaired balance between the production of reactive oxygen species (ROS) and antioxidant defense [25]. In the brain of Alzheimer’s disease patients, oxidative stress is evident. Antioxidant enzymes such as superoxide dismutase (SOD) play a key role in diminishing oxidative stress, which is considered to be a therapeutic approach for treatment of various neurological diseases [26]. Our study also showed that the application of FA significantly increased the activity levels of SOD in PC12 cells compared to the group treated with Aβ25-35; therefore, FA should have a significant nerve protection potential. Furthermore, we observed that pretreatment with FA significantly decreased the release of proinflammatory cytokines TNF-α and IL-1β into culture supernatants of PC12 cells in a concentration-dependent manner induced by Aβ25-35. Our results are consistent with previous reports that FA has a protective effect against proinflammatory responses. Cytokines play an essential role in the organization and regulation of inflammatory responses [27]. Neuroinflammation is an important pathoetiologic hallmark of AD [2, 28]. FA ameliorated neuroinflammation and decreased expression of proinflammatory cytokines (TNF-α and IL-1β) in PSAPP mice [5]. However, it remains possible that FA may have an anti-inflammatory effect as a multi-targeted compound. In order to further confirm our hypothesis that FA has the potential effect of treating AD by inhibiting the PDE/cAMP pathway, LPS was used to induce PC12 cellular damage and decrease cAMP levels in PC12 cells. FA was shown to inhibit the LPS-induced cellular damage and increased cAMP levels in PC12 cells. It was also observed that FA increased cAMP levels in a dose-dependent manner. There has been substantial evidence that repeated LPS treatment clearly induces an up-regulation of PDE4A, PDE4B, and PDE4D subtypes and a significant down-regulation of cAMP/pCREB/BDNF signaling pathway in the hippocampus and prefrontal cortex of mice [29]. cAMP is thought to be the main intracellular second messenger and to play a crucial role in regulating inflammation; furthermore, cAMP has been recognized as a regulator of innate immunity and reactive oxygen species [30]. Specific PDE inhibitors have been shown to improve memory performance in different animal models of AD. The specific PDE4 inhibitor rolipram was found to effectively restore cognitive deficits in animal models of AD, which shows that it modulates the activity of cAMP-mediated signaling and regulates CREB phosphorylation. The PDE3 inhibitor etazolate was effective in preventing the depressive-like behavior induced by LPS treatment in mice. Etazolate alleviates depressive-like behavior by up-regulating cAMP, pCREB, and BDNF levels in the prefrontal cortex and hippocampus [29]. More recently, PDE5 inhibitors have also been shown to effectively restore memory function by elevating the levels of cyclic guanosine monophosphate (cGMP) [31]. Yabe T et al. found that FA increased cAMP response element binding protein (CREB) phosphorylation and ameliorated the stress-induced depression-like behavior of mice[32]. Examination of PDE4B mRNA of PC12 cells revealed a decrease in PDE4B, while immunoblotting showed up-regulation of CREB and phospho-CREB with FA pretreatment. These results are consistent with the increased levels of cAMP. More detailed results will be released in the near future (data are not published). It has been reported that LPS induced Ca2+ overload in PC12 cells. In this study, we examined the prohibiting effects of FA on intracellular Ca2+ accumulation induced by LPS. FA has shown the effect of decreasing the intracellular Ca2+ induced by LPS treatment. Extracellular fluid at sites of injury and inflammation has been reported to contain high concentrations of Ca2+, which also suggests a possible role for extracellular Ca2+ as a danger signal. LPS treatment induced Ca2+ influx into neurons, promoted a transient elevation of intracellular calcium, and led to the activation of Ca2+-mediated signal transduction [33]. In cultured hippocampal cells, glutamate toxicity significantly increased the intracellular Ca2+ concentration, whereas this increase in Ca2+ level was inhibited by FA treatment. It was also reported that sodium ferulate significantly attenuates anoxia and reoxygenation-induced Ca2+ overload and improves cell survival [3]. The cross-talk between intracellular Ca2+ and cyclic nucleotide levels existed in various types of cells. PDE4 is one of the major PDE isoforms present in vascular endothelial cells. Studies indicated that the effects of rolipram (the inhibitor of PDE4) and the cAMP analogue dibutyryl cAMP (db-cAMP) are similar to those of Gingko biloba extract EGb 761 on agonist-induced Ca2+ increases. This effect of inhibiting PDE4 activity likely involves an elevation of cAMP levels and a subsequent modification of calcium signaling in endothelial cells [34]. Of course, further study is needed to clarify the role of FA on Ca2+ influx. Molecular docking results have shown that FA interacts strongly with critical amino acid residues including Tyr233, His234, Met347, Asn395, Phe414, Gln443, and Phe446 at the FA-binding site of PDE4B2. Furthermore, these amino acid residues maybe very important for inhibitor binding. Based on the above results, it is an open question whether FA is only activating adenylate cylase activity alone or in combination with the inhibition of PDE, thereby increasing the intracellular level of cAMP and then to activate PKA. To examine the effects of FA on the LPS-inducible PDE expression, PDE activity and resultant cellular cAMP levels are vital to deeply understand the mechanism of its anti-AD effect. Further investigation is needed to address the relationship between FA, inflammatory factors, and PDE at gene and protein levels, and also behavioral tests in the studied animals should be included as this may provide more experimental support for the treatment of AD. Conclusion Our present study showed that FA inhibits Aβ25-35- and LPS-induced neurotoxicity. This may be mediated by inhibition of PDE/cAMP signaling pathway. These results suggested possible therapeutic uses of FA for the treatment of AD, where cAMP and Ca2+ mediated neuroinflammation play a significant role. Acknowledgements This work was supported by funding from the National Natural Science Foundation of China (No. 81130067 and No. 81202936). Conflict of interest The authors report no conflicts of interest. 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(A) Effects of FA on PC12 cell proliferation. PC12 cells were treated with different concentrations of FA for 24 hours. Cell viability was measured with CCK8 assay. (B) Toxic effect of Aβ25-35 on PC12 cells. Cells were plated and treated with Aβ25-35 for 48 hours. Cell viability was measured with CCK8 assay. The results are expressed as percentage of the absorbance of control cells. (C) Protective effects of FA on Aβ25-35-induced PC12 cellular damage. PC12 cells were preincubated with the indicated concentrations of FA for 24 hours, then exposed to Aβ25-35 (20 uM) and cultured for 48 hours. Results are indicated as means ± SD of three experiments. *p<0.05 vs vehicle group, #p<0.05 vs Aβ25-35 group. Figure 2. FA promotes generation of SOD and inhibits generation of TNF-α and IL-1β. PC12 cells were preincubated for 24 hours with the indicated concentrations of FA, then exposed to Aβ25-35 (20 µM) and cultured for 48 hours. The levels of SOD (A), TNF-α (B), and IL-1β (C) in the culture supernatants were determined. Aβ25-35 significantly reduced SOD activities compared to the control group. Pretreatment with FA produced a great increase in SOD activities compared to Aβ25-35 alone. The levels of TNF-α and IL-1β were measured using ELISA kits. Results are means ± SD of three experiments. *p<0.05 vs vehicle group, #p<0.05 vs Aβ25-35 group. Figure 3. Protective effects of FA on LPS-induced cytotoxicity in PC12 cells. (A) Cells were treated with various concentrations of LPS for 24 hours, CCK8 assay was used to determine cell viability. LPS induced cell death in a dose-dependent manner. (B) A significant increase in cell viability was observed when cells were pretreated with various concentrations of FA for 24 hours prior to LPS exposure. Results are means ± SD of three experiments. *p<0.05 vs vehicle group, #p<0.05 vs Aβ25-35 group. Figure 4. Effect of FA on cAMP level. FA prevents the down-regulation of cAMP levels in the PC12 cells induced by LPS. PC12 cells were preincubated with the indicated concentrations of FA for 24 hours, then exposed to LPS (150 ng/mL) for 24 hours. The levels of cAMP were measured using ELISA kits. LPS significantly reduced cAMP levels as compared to the control group. Results are means ± SD of three experiments. *p<0.05 vs vehicle group, #p<0.05 vs LPS group. Figure 5. FA decreases intracellular Ca2+ levels. (A) The intracellular Ca2+ of PC12 cells in the control group was stable during the observation time. (B), (C), (D): Representative plots of changes in intracellular Ca2+ levels over time after the addition of different FA concentrations (5, 10 or 20 µM). (E) PC12 cells were pretreated with FA (2.5, 5, 10, 20, 40 µM) for 24 hours, followed by LPS (0.15 mg/mL) treatment for 24 hours. The enhancement of intracellular Ca2+ induced by LPS was retarded in PC12 cells with FA pretreatment. Results are means ± SD of three experiments. *p<0.05 vs vehicle group, #p<0.05 vs LPS group. Figure 6. Molecular docking results. (A) Predicted binding sites in PDE4B2. (B) Close view of binding mode of FA with PDE4B2 active site residues. Hydrogen bonds are represented by yellow dotted lines. Fig. 1 (A) Fig. 1 (B) Fig. 1 (C) Fig. 2 (A) Fig. 2 (B) Fig. 2 (C) Fig. 3 (A) Fig. 3 (B) Fig. 4 Fig. 5 (A), (B), (C), (D), (E) Fig. 6 (A) Fig.6 (B)
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